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Individual

AMY M RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
9101 SUN ISLE DR NE, SAINT PETERSBURG, FL 33702-2617
(404) 372-7025
Mailing address
9101 SUN ISLE DR NE, SAINT PETERSBURG, FL 33702-2617
(404) 372-7025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32615
FL
1835G0303X
Geriatric Pharmacist
PU5906
FL

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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